Praxis Health, PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PRAXIS HEALTH, PC

Practice address

1890 7TH St.
Umatilla, OR 97882

Phone

(541) 567-6434

NPI assigned

Oct 27, 2020

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PRAXIS HEALTH, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica M Reagan

Title

Revenue Cycle Director

Phone

(541) 966-6136

Specialties & licenses 1

Addresses

Other names 1

• Praxis Medical Group Inc Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Praxis Medical Group in

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Hermiston Medical Center P C

  dba Family Health Associates - Umatilla

  • Rural Health Clinic/Center
  • Umatilla, OR
  • NPI 1437967361

  Sold to, 2025-01-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1770183063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 7TH ST.",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "97882",
            "telephone_number": "541-567-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS HEALTH, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAXIS HEALTH, PC",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "541-966-6136"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praxis Medical Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lacey O'Neal
• Oregon Department of Corrections
• Sandra K Peery, BA
• Maria T Perez, MSW
• Becky Lynn Phillips, FNP-C
• Brieanna Shay Rhoades
• Jorge Ricardo
• Kristi Ann Rodgers
• Ruby Rodriguez
• Sam-El Transit Solutions

• Rural Health Clinic/Center in Umatilla, OR
• Providers in Umatilla, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.